| Breanna Kartes, NP | |
|
1919 Lake Ave Ste 106, Plymouth, IN 46563-7830 | |
| (574) 335-5220 | |
| (574) 335-0859 |
| Full Name | Breanna Kartes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1919 Lake Ave Ste 106, Plymouth, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538740121 | NPI | - | NPPES |
| 1102556497 | Other | IN | ANTHEM |
| 300052442 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28248244A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71011303A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Kartes, NP 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: () - | Breanna Kartes, NP 1919 Lake Ave Ste 106, Plymouth, IN 46563-7830 Ph: (574) 335-5220 |
Jessica Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-523-3160 | |
Alissa Whittaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 N Michigan St, Plymouth, IN 46563 Phone: 574-936-2643 Fax: 574-540-4001 | |
Kimberley Kay Mendez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 W Adams St Ste 150, Plymouth, IN 46563 Phone: 574-335-7900 Fax: 574-335-0850 | |
Eric Eugene Spohn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 Illinois St, Plymouth, IN 46563 Phone: 574-936-9646 | |
Marla M Troyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-335-0745 | |
Mrs. Julie Marie Brandy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 119, Plymouth, IN 46563 Phone: 574-941-1000 Fax: 574-941-1075 | |
Lauren Grace Arias, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-540-2052 Fax: 574-540-2540 |